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Wisconsin rates for HCPCS 86677

Antibody Helicobacter Pylori

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.22 / $37.58 / $181.72
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.82 / $16.85 / $22.85
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.22 / $43.81 / $46.34
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.16 / $7.16 / $67.40
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $41.18 / $42.80
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.85 / $16.85 / $16.85
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$45.96 / $53.70 / $82.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.41 / $45.38 / $51.56
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $13.48 / $20.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $13.97 / $80.04
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $11.86 / $32.24
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.34 / $25.28 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.93 / $13.48 / $20.22
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.76 / $41.18 / $153.76
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$33.70 / $33.70 / $80.04
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.64 / $14.11 / $14.11
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.88 / $35.88 / $39.86
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.34 / $39.86 / $92.00
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.48 / $13.48 / $36.56
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.91 / $10.11 / $31.36